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:Influence of the duration of Holter monitoring on the detection of arrhythmia recurrences after catheter ablation of atrial fibrillation: implications for patient follow-up.

Abstract：

:We investigated the influence of Holter duration on the detection of recurrences after ablation for atrial fibrillation (AF). Two-hundred-and-fifteen patients underwent a 7-day Holter ECG at 6 months after catheter ablation. We analyzed the number of patients who had a recurrence within the first 24, 48, 72 h etc. up to the total of 7 days. During the complete 7-day recording, 30% had a recurrence. All Holter durations ≤5 days would have detected significantly less patients with recurrence than the complete 7-day recording. A 24-hour Holter would have detected 59%, a 48-hour Holter 67% and a 72-hour Holter 80% of patients with recurrences, whereas a 4-day recording would have detected 91% of the recurrences that were detected with the complete 7-day recording. In conclusion, a Holter duration of less than 4 days misses a great portion of recurrences, whereas a 4-day recording might offer a reasonable compromise.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Dagres N,Kottkamp H,Piorkowski C,Weis S,Arya A,Sommer P,Bode K,Gerds-Li JH,Kremastinos DT,Hindricks G

doi

10.1016/j.ijcard.2008.10.004

subject

Has Abstract

pub_date

2010-03-18 00:00:00

pages

305-6

issue

3

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(08)01050-4

journal_volume

139

pub_type

信件

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